| NPI | 1265107635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MT PHA-PHA-LIC-84180) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2025-05-05 |